Tiffany Nicole Graham, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00662 Issued in RI

Practice address

566 Toll Gate Rd
Warwick, RI 02886-2799

Phone

(401) 738-4800

Fax

(508) 823-0425

NPI assigned

Jun 17, 2018

Last updated

Dec 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Tiffany Nicole Hooks Former name

Medicare fee-for-service enrollment

Enrolled in MA, RI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Koch Eye Associates LLPGroup PAC ID 1153213921, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tiffany.hooksod.p1@direct.centerforeyehealth.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Koch Eye Associates LLP

  • Ophthalmology Physician
  • Warwick, RI
  • NPI 1194881961

  Optometrist

  Medicare reassignment Care Compare group NPD
• John Magalhaes and Associates, Inc.

  • Optometrist
  • N Dartmouth, MA
  • NPI 1790900884
  Medicare reassignment NPD
• Koch Eye Associates, LLP

  • Eyewear Supplier
  • Woonsocket, RI
  • NPI 1720539240

  Optometrist

  NPD
• Koch Eye Associates LLP

  • Eyewear Supplier
  • Johnston, RI
  • NPI 1568534246

  Optometrist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1043704794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 SUMMIT DR",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242183",
            "telephone_number": "774-506-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862799",
            "telephone_number": "401-738-4800",
            "fax_number": "508-823-0425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "382 State Rd",
            "address_purpose": "LOCATION",
            "city": "North Dartmouth",
            "state": "MA",
            "postal_code": "027474302",
            "country_code": "US",
            "telephone_number": "508-717-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "73 Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "RI",
            "postal_code": "028425234",
            "country_code": "US",
            "telephone_number": "401-845-2020",
            "fax_number": "508-823-0425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-17",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5309",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "HOOKS",
            "middle_name": "NICOLE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brett B Gould
• Meghan Christine Gould
• Amy Jeanne Goyette, RN
• Susan W Graefe, LICSW
• Graham J. Newstead M.D., Inc.
• Nermin Graise, M.D.
• David J Grams, DPT
• Amanda Grandchamp, LMHC
• Joseph Anthony Grande, DO
• Robert Allen Grant, LICSW

• Optometrist in Warwick, RI
• Providers in Warwick, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.